NPI 1285656413 · live from the CMS NPI Registry
Brian Patrick O'Donnell, MD
Dermatology, MOHS-Micrographic Surgery in Freeport, ME. National Provider Identifier 1285656413, active.
NPI record
| NPI | 1285656413 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, MOHS-Micrographic Surgery 207ND0101X |
| Practice location | 407 Us Route 1, Freeport, ME 04032 |
| Practice phone | 207-865-2023 |
| Enumerated | July 24, 2006 |
| Last updated | July 15, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, MOHS-Micrographic Surgery primary | 207ND0101X | MD13824 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.